Self assessment
1. Summary of strengths
2. Opportunities for growth
3. Now, write 3-4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resource
PRAC 6565: Clinical Skills and Procedures Self-Assessment Form
Procedure Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or need supervision to feel confident) New (Have never performed or does not apply)
Biopsy (excision or punch) Have observed many during clinical rotation
Cerumen Removal x
Clinical Breast Examination x
Digital Rectal Exam x
EKG 12 Lead Placement and Interpretation x
Epistaxis management/nasal packing x
Fluorescein stain of the eye x
Gait and Balance Assessment x
Herpes Culture Observed during clinical rotation
I &D abscess x
CXR Interpretation x
KOH skin slide for fungus x
Laboratory/Diagnostic Testing-Order and/or Interpret x
Mini Mental Status Exam x
Nail Examination and removal/Nail Trephination/ Subungual Hematoma x
Nasal Packing, removal of x
Pap Smear x
Peak flow meter x
Prostate examination x
Remove Foreign Body (ear, eye, nose, soft tissue, other) x
Skin Tag Removal
Tick Removal x
Suturing Observed during clinical rotation
PFT Interpretation x
Vision/Hearing x
Wart destruction/removal Have observed many during clinical rotation
Wound Care x
Radiology Reports: Interpret Chest X-ray, Constipation x
Inject Local Anesthetics Have observed many during clinical rotation
1. Summary of strengths:
Based on your ratings, summarize your strengths –Paragraphs should be between 5 to 7 sentences.
2. Opportunities for growth:
Response should be five to seven sentences.
3. Now, write 3-4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
Based on your self-assessment and theory of nursing practice, develop three to four (3–4) goals and objectives for this Practicum experience. Include them on the designated area of the form.